ual747den
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Medical Advise - Is This A Staph Infection?

Wed Apr 24, 2013 9:05 pm

A little more than a week ago I got a very small cut on my finger. It seemed like no big deal until the past 3 days when it started to look like this. So my question is if anyone here knows if this looks like a staph infection?


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aloges
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RE: Medical Advise - Is This A Staph Infection?

Wed Apr 24, 2013 9:22 pm

The five signs of an inflammation are:

Rubor, Tumor, Calor, Dolor, Functio laesa
Redness, Swelling, Heat, Pain, Loss of function

It's definitely red and definitely swollen; the remaining three signs are, of course, impossible to see in a photo. Since you say that the cause is a cut on your finger, which is constantly exposed to all sorts of pathogens, chances are that it has indeed become infected. See a doctor as soon as you can; not because it's necessarily dangerous, but because it will limit your discomfort.

Disclaimer: I am not a medical doctor.
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fr8mech
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RE: Medical Advise - Is This A Staph Infection?

Wed Apr 24, 2013 9:49 pm

I, also, am not a medical doctor (nor any other kind of doctor), but I've had plenty of experience with all kinds of wounds.

If the wound looks like that after "a little more than a week", you have a problem. Yes, it is an infection. Is it a Staph Infection? I don't know, but I don't think so.

How have you been treating this? Did you just clean it up and leave it uncovered? By the way, what was the mechanism of injury?

Did you use a topical antibiotic (Neosporin, Polysporin, etc)?

Is it painful? It looks like it may be.

Is it draining?

Loss of function? Hard to tell with a finger tip...how about loss of sensation?
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CaliAtenza
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 8:57 am

I see swelling and redness there for sure. I dont see any draining pus or a pus collection there though. I cant say for certain if it is a staph infection without blood cultures or a swab from the wound site, etc. My main concern always with cuts and wounds is Tetanus, but you dont have that (if you did you wouldnt be posting on here....). I would get down to the hospital right away and get it checked out. More than likely its a localized infection. Are you having pain in the area or a fever?
 
Superfly
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 9:28 am

Quoting ual747den (Thread starter):

Where have you been sticking your finger?

It's ok, you can tell us.
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 9:52 am

A staph infection can be determined by sending a small specimen of the liquid within the wound to a lab. And remember staph can go systematic. It kinda looks more like a burn and a cut combined.

I wouldn't be screwing around with this hoping to get an answer on a.net. I'd be in a doctors office having it looked at. You may need anti-biotics to cure it. Or at least soak it in some warm water, dry and apply an anti-biotic cream such as Neosporin on it.
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WestJet747
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 1:03 pm

If you are concerned enough to seek an opinion on A-net, you should be going to the doctor. Go to the clinic or make an appointment with your GP as soon as possible.

Don't try to "tough it out", that rarely works to anyone's benefit in the end. Better safe than sorry.
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AF1624
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 1:29 pm

This looks like a burn/cut and burns have a tendency to infect rather quickly.

Go see a doctor.
Cheers
 
ual747den
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 5:51 pm

Some of you have talked about a sample going to a lab but that says to me someone is going to try to poke me with a needle..... I don't do needles! Seriously don't do them at all! There is no burn with it but that is exactly how it looks. Now I'm even more worried about the doctor ill catch an assault charge if that man approaches me with a needle!
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Stabilator
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 5:58 pm

Quoting ual747den (Reply 8):
I don't do needles! Seriously don't do them at all!

Odd, isn't that a tattoo on your lower bicep?
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AeroWesty
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 6:06 pm

Quoting ual747den (Reply 8):
Now I'm even more worried about the doctor ill catch an assault charge if that man approaches me with a needle!

Call your doctor ahead of time and have some valium or something called in to a local pharmacy for you, if that's a serious concern. My dentist won't allow me to even show up for an appointment without a few valium first, after I once bit his dental assistant during a cleaning several years ago.

(I had an old world dentist as a child who'd drill cavities without any anesthetic, so I react abnormally in a dental office to even simple procedures.)
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WestJet747
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 6:40 pm

Quoting ual747den (Reply 8):
Some of you have talked about a sample going to a lab but that says to me someone is going to try to poke me with a needle..... I don't do needles! Seriously don't do them at all! There is no burn with it but that is exactly how it looks. Now I'm even more worried about the doctor ill catch an assault charge if that man approaches me with a needle!

What's worse: one needle right now to take a sample...or all the needles they're going to have to give you when you're hospitalized with a serious infection if it spreads?

My advice:

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EricR
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 6:42 pm

I would just squeeze it........it will drain or reduce the swelling.
 
BMI727
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 6:52 pm

Quoting WestJet747 (Reply 11):
What's worse: one needle right now to take a sample...or all the needles they're going to have to give you when you're hospitalized with a serious infection if it spreads?

When I had MRSA about six years ago all they did was swab it externally, no needles involved.

But to answer your question, the IV needle for antibiotics is probably less painful than sticking a smaller needle into an infected would on a finger.
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aloges
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 6:54 pm

Quoting ual747den (Reply 8):
Now I'm even more worried about the doctor ill catch an assault charge if that man approaches me with a needle!

Well, unless you go, you won't find out if he even has to use a needle.  

A while ago, I contracted lymphangitis in my upper right arm - the infection that is commonly known as "blood poisoning". Naturally, it happened on a Sunday afternoon, so I went to the local hospital and was seen by two doctors: an internist and a surgeon. The former did take a blood sample, but then sent me to the latter anyway who recognised the infection on the spot and treated me without any needles whatsoever.

Maybe they won't even have to draw a blood sample in your case, so don't fret it and give it a chance. It doesn't look like it'll get better on its own.

Quoting WestJet747 (Reply 11):
My advice:

Oh, come on. If it was that simple, it wouldn't be a phobia. I'll happily watch my physician poke me and won't even flinch, but that doesn't mean that everyone who can't do that is a sissy.
Don't cry because it's over, smile because it happened.
 
WestJet747
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 7:15 pm

Quoting aloges (Reply 14):
Oh, come on. If it was that simple, it wouldn't be a phobia. I'll happily watch my physician poke me and won't even flinch, but that doesn't mean that everyone who can't do that is a sissy.

Don't get me wrong, I HATE needles too, but I would never risk my health because of it. This reminds me of the "Guy Syndrome" a poster mentioned in the testicular cancer thread, where guys will wait until the absolute last minute to get treated because they don't want to appear soft.

As for phobias, they don't actually physically stop you from doing anything. You can will yourself through a phobia if you put your mind to it. I have a couple phobias too, but every time I need to face them I just convince myself that it's not going to kill me, and I'm able to at least get done what I need to get done.

As for being a "sissy", I got counselling for a particular fear of mine about 8 months ago...the counselor basically called me out for being a sissy. After a couple sessions I had the mental tools to realize that my fear was unreasonable that I can man-up and overcome them whenever the anxiety would start to creep up on me.
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fr8mech
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 8:00 pm

Quoting ual747den (Reply 8):
Some of you have talked about a sample going to a lab but that says to me someone is going to try to poke me with a needle..... I don't do needles! Seriously don't do them at all! There is no burn with it but that is exactly how it looks. Now I'm even more worried about the doctor ill catch an assault charge if that man approaches me with a needle!

If you're not going to go to the doctor and insist on taking advice from "the internet", then take this advice:

-wash with warm soap and water for a couple of minutes
-wipe clean with an antiseptic wipe...use more than one if there is any drainage. Get it clean.
-dry it with a sterile pad. again, use more than one if you need to.
-treat with Neosporin or polysporin (my orthopedic friend prefers polysporin for treating wounds)
-wrap a sterile pad around it and then bandage it with a sterile wrap and tape it
-keep it clean and dry
-repeat daily and note any changes in size, color, sensation or discharge

GO TO THE FREAKING DOCTOR IF IT GETS WORSE OR DOESN'T GET BETTER. You're going on 10 days here.
When seconds count...the police are minutes away.
 
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 8:05 pm

Quoting ual747den (Reply 8):
Some of you have talked about a sample going to a lab but that says to me someone is going to try to poke me with a needle.

The doctor won't use a needle if there are any "wet" spots on the wound. He'll just run a sterile glass slide over the area and send that in. I had to have that done for an infected cat bite one time. Totally painless.

But the doctor may not even bother and just give you the proper antibiotics and send you on your way! .

Ah, but this thread needs a face shot from you first.......
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ual747den
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 8:59 pm

I'll tell you a funny story about my fear of needles, several years ago I was getting some injections for a pain in my neck. The doctor understood my fear and gave me a very large amount of Versed in an IV (you want to get really weird, I can handle an IV but not a shot, I don't understand either) I passed out and appeared completely unconscious but when they got ready to do the injection I got up and tried to fight with the doctor. He said it was obvious that I was completely out of it but I was still strong and he could do nothing to calm me down. When the medication wore off and I "woke up" I didn't remember any part of it and still don't.

Nothing at all is draining from it and it appears to be pretty "deep" under the skin. I have been taking an antibiotic for streph throat so if its an infection wouldn't that just kill it?
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aloges
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 9:14 pm

Quoting ual747den (Reply 18):
Nothing at all is draining from it and it appears to be pretty "deep" under the skin. I have been taking an antibiotic for streph throat so if its an infection wouldn't that just kill it?

It depends completely on the kind of bacteria present and the antibiotic you are taking. Self-medication with antibiotics is contraindicated for that reason (among others, I'm sure). In other words, what you are doing now is reckless and dangerous. See a doctor.
Don't cry because it's over, smile because it happened.
 
CaliAtenza
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RE: Medical Advise - Is This A Staph Infection?

Thu Apr 25, 2013 9:19 pm

Quoting ual747den (Reply 18):

Nothing at all is draining from it and it appears to be pretty "deep" under the skin. I have been taking an antibiotic for streph throat so if its an infection wouldn't that just kill it?

What are you taking for strep throat? That drug may not necessarily work against a staph infection. Staph is a slimy bugger..its resistant to a lot of stuff...
 
trav110
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RE: Medical Advise - Is This A Staph Infection?

Fri Apr 26, 2013 8:35 am

Quoting ual747den (Reply 18):
Nothing at all is draining from it and it appears to be pretty "deep" under the skin. I have been taking an antibiotic for streph throat so if its an infection wouldn't that just kill it?

No, not all antibiotics work the same. SEE A DOCTOR. All you've done in this thread is ask for advice and ignore every person who tells you that you need this checked out. What point is it in making this thread if you're going to play armchair doctor, ignore everybody, and then speculate about something you know nothing about?
 
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Fri Apr 26, 2013 7:53 pm

Quoting aloges (Reply 1):

Disclaimer: I am not a medical doctor.

Disclaimer: I am a medical doctor.

This photograph is highly suspicious for infection with either Staphylococcus aureus or Streptococcus species. If you have been on amoxicillin for strep throat, then S. aureus is the likely culprit and I would treat with either trimethoprim/sulfamethoxazole or clindamycin for suspected MRSA. Fingers have relatively poor blood supply and the infection can become finger-threatening.

Please seek medical attention immediately.
-Doc Lightning-

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ual747den
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RE: Medical Advise - Is This A Staph Infection?

Fri Apr 26, 2013 8:42 pm

I sucked it up and seen the doctor today who CUT my finger open and started me on Bactrum for the infection. They did a culture and told me they would call me back if there is anything to be worried about.

Thanks guys!
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zippyjet
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 1:38 am

Quoting ual747den (Thread starter):

The picture is not coming up on this computer but,

Quoting DocLightning (Reply 22):
Disclaimer: I am a medical doctor.
But I used to play one on TV!   
Couldn't resist!

Seriously, I can't see the picture on these computers but, the nasty things about infections; they can also wreck havoc on your immune system and make you feel like crap to put it mildly. Get it checked out. Your intuition told you to ask here at A-Net, chances are something could be going down and it would be prudent not to delay and visit a medical facility.
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johnboy
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 2:20 am

Quoting Superfly (Reply 4):
Where have you been sticking your finger?

It's ok, you can tell us.

Ok I had to LOL at that!

Good luck with the infection....I had MRSA that Bactrim didn't touch and I ended up in the hospital for a week and now have a huge chunk out of my thigh.
 
flymia
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 5:43 am

I remember I once did a medical thread but it was about jamming my thumb playing basketball and how much Advil I could take. Anything like this I wouldn't even waste my time, if I needed to seek medical advice about something such as a possible infection on Anet that means see a doctor. Thankfully you have done that now. Hope all is well or getting well now.
"It was just four of us on the flight deck, trying to do our job" (Captain Al Haynes)
 
CaliAtenza
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 6:02 am

Quoting DocLightning (Reply 22):

This photograph is highly suspicious for infection with either Staphylococcus aureus or Streptococcus species. If you have been on amoxicillin for strep throat, then S. aureus is the likely culprit and I would treat with either trimethoprim/sulfamethoxazole or clindamycin for suspected MRSA. Fingers have relatively poor blood supply and the infection can become finger-threatening.

Please seek medical attention immediately.

Good call doc. I couldnt see clearly, and still cant from that picture (obviously you have more expierence than i do), but i would surmise to say that there is pus underneath the open wound. I would have gone with TMP/SMX as well. Doc, i have always read , or at least was taught , that MRSA happens after you get to the hospital, not before, am i wrong on that?
 
BMI727
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 6:09 am

Quoting flymia (Reply 26):
Anything like this I wouldn't even waste my time, if I needed to seek medical advice about something such as a possible infection on Anet that means see a doctor.

He doesn't want to know if he needs a doctor, he knows he does. He just wants someone to say he doesn't need a doctor.

I've pulled crap like that too. Since middle school or so I've broken a finger probably six or seven times. After the first one with X-rays and the whole thing I realized all that would happen was the doctor would tape it up and tell me to not play basketball for a while. So since I knew the doctor was going to tell me something I didn't want to hear I stopped bothering with it, taped it up myself and kept playing since nobody told me not to.

Quoting CaliAtenza (Reply 27):
i have always read , or at least was taught , that MRSA happens after you get to the hospital, not before, am i wrong on that?

I got it without going to a hospital. My dad, however, spent a fair bit of time around hospitals and nursing homes which is most likely how I contracted it.
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Superfly
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 9:36 am

Quoting johnboy (Reply 25):
Ok I had to LOL at that!

Get your head out of the gutter. 

We can all learn from this as we've all stuck our fingers in dirty places.
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TheRedBaron
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RE: Medical Advise - Is This A Staph Infection?

Sat Apr 27, 2013 1:14 pm

Quoting DocLightning (Reply 22):

Quoting aloges (Reply 1):

Disclaimer: I am not a medical doctor.

Disclaimer: I am a medical doctor.

This photograph is highly suspicious for infection with either Staphylococcus aureus or Streptococcus species. If you have been on amoxicillin for strep throat, then S. aureus is the likely culprit and I would treat with either trimethoprim/sulfamethoxazole or clindamycin for suspected MRSA. Fingers have relatively poor blood supply and the infection can become finger-threatening.

Please seek medical attention immediately.

And people dont know that that nasty bug can ruin your heart valves in mater of months...

TRB
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 2:57 am

Quoting CaliAtenza (Reply 27):
that MRSA happens after you get to the hospital, not before, am i wrong on that?

Unfortunately, you are quite wrong, I'm afraid. MRSA is now in the community. We call it CA-MRSA (Community-Acquired).
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 4:03 am

Quoting ual747den (Reply 23):

I sucked it up and seen the doctor today who CUT my finger open and started me on Bactrum for the infection. They did a culture and told me they would call me back if there is anything to be worried about.

And given the picture, I have to say I agree with every last bit of his management.

Feel better.
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CaliAtenza
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 5:31 am

Quoting DocLightning (Reply 31):

Unfortunately, you are quite wrong, I'm afraid. MRSA is now in the community. We call it CA-MRSA (Community-Acquired).

ah yes, just read up on that  . Yeah, unfortunately my older textbooks havent been updated and they kept drilling it into during school that MRSA happens at the hospital. Thanks Doc!
 
Cerecl
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 1:21 pm

Quoting ual747den (Reply 18):
I have been taking an antibiotic for streph throat so if its an infection wouldn't that just kill it?

The US enjoys worldwide notoriety for reckless antibiotics prescribing and horrible rates of drug-resistant bacteria in the community. You just did your bit to make sure this problem is not going away soon.
 
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Aesma
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 1:29 pm

Taking care of a cut when it happens is the key. Often I don't do it and nothing happens, then sometimes I will get a small infection like this and will :

Quoting EricR (Reply 12):
I would just squeeze it........it will drain or reduce the swelling.

then do what I should have done from the start, put alcohol or antiseptic and a band-aid on it, so far it has been enough. I even have that big U-shaped scar on one finger because I cut a flap of skin/meat from it with a sharp knife and sucked it up as a teen since it was the middle of the night, later I got told that sutures should have been performed.

Quoting ual747den (Reply 23):
I sucked it up and seen the doctor today who CUT my finger open and started me on Bactrum for the infection. They did a culture and told me they would call me back if there is anything to be worried about.

Thanks guys!

I guess your fear of needles doesn't extend do scalpels !
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fr8mech
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 1:34 pm

Quoting Cerecl (Reply 34):
The US enjoys worldwide notoriety for reckless antibiotics prescribing and horrible rates of drug-resistant bacteria in the community. You just did your bit to make sure this problem is not going away soon.

No, he didn't. He is taking the antibiotic for Strep Throat, which is the proper treatment for Strep Throat. He was just asking if the current antibiotic would be effective against whatever bug is growing in his finger.

Or, are you suggesting that he shouldn't take the antibiotic until the finger bug is identified even though he has a diagnosed (I assume) case of Strep?
When seconds count...the police are minutes away.
 
Cerecl
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 2:20 pm

Quoting fr8mech (Reply 36):
Or, are you suggesting that he shouldn't take the antibiotic until the finger bug is identified even though he has a diagnosed (I assume) case of Strep?

Whatever is infecting his finger wound had nothing to do with his Strep throat. It may be a Strep, it may not. One should not use antibiotics prescribed to treat one condition to treat another concurrent condition unless there is evidence to suggest that it would be effective in treating both. If an elderly lady who was admitted to hospital for an urinary tract infection develops pneumonia, no doctor would sit around and hope the antibiotic she was already on would kill the bug causing pneumonia. Same situation here.
Folks, there are many types of bugs and many types of antibiotics. There are (or should be) comprehensive guidelines detailing what empirical antibiotics to use in situations when antibiotic sensitivity tests are not yet completed. See a doctor when you know that there is an infection. Misuse of antibiotics ultimately harms everyone.
 
fr8mech
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 3:28 pm

Quoting Cerecl (Reply 37):
Whatever is infecting his finger wound had nothing to do with his Strep throat. It may be a Strep, it may not. One should not use antibiotics prescribed to treat one condition to treat another concurrent condition unless there is evidence to suggest that it would be effective in treating both.

Correct, but the question he asks is whether or not the antibiotics he's taking for the Strep would have any effect on the finger bug. You indicated that he is contributing to the problem of antibiotic resistant bacteria because he was treating his Strep at the same time as he's trying to treat his finger.

He would have been taking the antibiotic for Strep whether he had the finger bug or not.

I'm not feeling well today, so I'm being picky. None of the kids are around for me to bug them, so I'm looking for another outlet. Sorry.
When seconds count...the police are minutes away.
 
ual747den
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 3:51 pm

Cerecl,
You are wrong. I was on an antibiotic for streph throat before my finger got so bad so either way I had to complete that. I can assure you I am the last person to contribute to an antibiotic problem, I refuse to take them until it looks like major harm is coming if I don't. Did you read the post?
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 3:55 pm

Quoting Cerecl (Reply 34):
The US enjoys worldwide notoriety for reckless antibiotics prescribing and horrible rates of drug-resistant bacteria in the community. You just did your bit to make sure this problem is not going away soon.

You cannot know that. If his physician diagnosed strep throat and treated it all appropriately, then it was not inappropriate. Untreated strep can lead to rheumatic fever and permanent heart damage.

The algorithm for sore throat is to test with a rapid strep antigen (RSA) test. If positive, treat. If negative, do not treat and send for culture. Appropriate treatment is penicillin VK 500mg by mouth three times daily for ten days, benzathene penicillin G 1.2 million units IM once, or amoxicillin 875mg by mouth twice daily for ten days. Most docs go for option (3) for the best adherence by patients.

While amoxicillin is not a good antistaphylococcal antibiotic, any staph-suspicious infection that occurs while someone is on a beta-lactam should be treated as CA-MRSA until proven otherwise and should be treated with anti-MRSA drugs like clindamycin or TMP/SMX.

So far, his physician's care has been appropriate given what he has described.
-Doc Lightning-

"The sky calls to us. If we do not destroy ourselves, we will one day venture to the stars."
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mdsh00
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 4:47 pm

I am a medical doctor too and I agree with DocLightning. If you were to see me in my office I would check if there were any reason to try and drain it. It definitely needs an antibiotic and you should go see your doctor as soon as possible.

Edit: To all those taking about "guy syndrome," in my experience I've found that it's usually the "tough guys" that whine more than little children if they need a shot or a blood draw.

[Edited 2013-04-28 09:48:59]
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fr8mech
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 5:32 pm

Quoting DocLightning (Reply 40):
. Appropriate treatment is penicillin VK 500mg by mouth three times daily for ten days, benzathene penicillin G 1.2 million units IM once, or amoxicillin 875mg by mouth twice daily for ten days.

Not to steer the conversation astray, but Doc, are you telling me that should I contract Strep Throat (and being that I have 2 children that attend a germ factory 8 hours a day, I have had it before), I can opt for 1 shot in the ass instead of 10 (or more) days of trying to remember to take my freaking pill 3 times a day!!??
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 6:57 pm

Quoting fr8mech (Reply 42):
Not to steer the conversation astray, but Doc, are you telling me that should I contract Strep Throat (and being that I have 2 children that attend a germ factory 8 hours a day, I have had it before), I can opt for 1 shot in the ass instead of 10 (or more) days of trying to remember to take my freaking pill 3 times a day!!??

Well... it's not that simple. 1) The shot in the butt costs more 2) The shot in the butt lasts three weeks and becomes a real problem if you develop a reaction to it. 3) The shot in the butt hurts. 4) There is a small, but not zero risk, that the shot could enter a blood vessel and cause gangrene of all or part of a limb. 5) There is a small but not zero risk that the shot could enter a nerve and cause permanent nerve damage.

On balance, I go for amoxicillin 875mg tablets twice daily. Better compliance than three times daily dosing, amoxicillin has more consistent absorption than penicillin VK and can be taken without regard to food, and in children the liquid suspension tastes like bubblegum, rather than like fungus (which is what penVK tastes like).

You may discuss that option with your doctor. I reserve my "LA-Bicillin" for syphilis.

Quoting mdsh00 (Reply 41):
Edit: To all those taking about "guy syndrome," in my experience I've found that it's usually the "tough guys" that whine more than little children if they need a shot or a blood draw.

I had this 190 lb, 6'4" HS Senior Quarterback nearly cry when he had to get his meningitis booster.   
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BMI727
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RE: Medical Advise - Is This A Staph Infection?

Sun Apr 28, 2013 7:48 pm

Quoting Cerecl (Reply 34):
You just did your bit to make sure this problem is not going away soon.

Actually him stopping the antibiotic would have been making the issue worse, since you're always supposed to finish the pills even if you feel better.
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Cerecl
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RE: Medical Advise - Is This A Staph Infection?

Mon Apr 29, 2013 11:49 am

Quoting fr8mech (Reply 38):
You indicated that he is contributing to the problem of antibiotic resistant bacteria because he was treating his Strep at the same time as he's trying to treat his finger.
Quoting DocLightning (Reply 40):
You cannot know that. If his physician diagnosed strep throat and treated it all appropriately, then it was not inappropriate. Untreated strep can lead to rheumatic fever and permanent heart damage.
Quoting BMI727 (Reply 44):
Actually him stopping the antibiotic would have been making the issue worse, since you're always supposed to finish the pills even if you feel better.

OK, I interpreted what he wrote as he was taking left-over Abx used to treat Strep throat in the hope that it would kill his finger bug. He has since clarified this point so my interpretation was incorrect and I take what I said back. I was/am certainly not suggesting that he should stop his Strep thoat antibiotics.

Quoting ual747den (Reply 39):
Did you read the post?

See above. Your post did not describe your attitude towards antibiotics. Rather, they described your delay in seeking medical attention and fear of needles.
 
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DocLightning
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RE: Medical Advise - Is This A Staph Infection?

Tue Apr 30, 2013 12:01 am

Quoting Cerecl (Reply 45):

OK, I interpreted what he wrote as he was taking left-over Abx used to treat Strep throat in the hope that it would kill his finger bug. He has since clarified this point so my interpretation was incorrect and I take what I said back. I was/am certainly not suggesting that he should stop his Strep thoat antibiotics.

If that's the case, I agree with you.

Folks, not all antibiotics are the same. The reason we have to go to medical school, among other things, is to learn which antibiotic to use when.

For example: amoxicillin is a great anti-strep drug. It's a horrible anti-staph drug. Nafcillin is a great anti-staph drug and a poor anti-strep drug. Unless you went to med school, you don't know this stuff, so please leave it to one of us pros.
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mdsh00
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RE: Medical Advise - Is This A Staph Infection?

Tue Apr 30, 2013 6:25 am

Quoting DocLightning (Reply 46):
amoxicillin is a great anti-strep drug. It's a horrible anti-staph drug. Nafcillin is a great anti-staph drug and a poor anti-strep drug. Unless you went to med school, you don't know this stuff, so please leave it to one of us pros.

  
I can't tell you how many times I have yelled at my parents for taking abx for a cold without asking me first (they bought a small stash of Amoxicillin from India   )

I had a patient with poorly controlled diabetes and I asked said patient to increase their Metformin dose. The patient refused and argued that "increasing the metformin will make my diabetes worse and I will end up on Insulin sooner."
 Wow!  
I really was so floored I couldn't figure out how the hell to have a logical discussion other than just saying "ok" and telling the patient the horrible things that can happen with uncontrolled DM and writing it in my chart.
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CaliAtenza
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RE: Medical Advise - Is This A Staph Infection?

Tue Apr 30, 2013 8:48 am

Quoting mdsh00 (Reply 47):
I had a patient with poorly controlled diabetes and I asked said patient to increase their Metformin dose. The patient refused and argued that "increasing the metformin will make my diabetes worse and I will end up on Insulin sooner."

If he had said, it will make my Kidney Failure worse, that would have been fine  .

Quoting DocLightning (Reply 46):

For example: amoxicillin is a great anti-strep drug. It's a horrible anti-staph drug. Nafcillin is a great anti-staph drug and a poor anti-strep drug. Unless you went to med school, you don't know this stuff, so please leave it to one of us pros.

While studying for my boards, i always remember "Nafs for Staph"  .

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